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MR. TIMOTHY JOHN DODSON RPH

Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist >> Pharmacist >> Pharmacy Service Providers

Registrant NPI Number: 1699914523

Individual Registrant:
MR. TIMOTHY JOHN DODSON RPH
Gender: M
Sole Proprietor

Location and contact information for practice:
21633 CUSTER TRL  NEMO, SD 57759-7609 US
Tel: 605-578-3831  Fax: --

Contact information for business:
21633 CUSTER TRL  NEMO, SD 57759-7609 US
Tel: 605-578-3831  Fax: --

Registration Information:
NPI: 1699914523
Entity Type: Individual

Specialty information:

PrimaryCodeCategory/DescriptionStateLicense Number
Y1835P0018XPharmacy Service Providers
Pharmacist
Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist
SDR3824

Legacy codes, insurance codes and state license numbers:

IssuerNumberStateType




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